Early pregnancy - Tiredness in early pregnancy

It is common to feel tired during pregnancy. This often happens in the first trimester (0 to 13 weeks) and the last trimester (week 27 to birth). Being pregnant uses a lot of energy.

It can be worrying to feel so tired. Try to rest when you can and accept offers of help.

Causes of tiredness in early pregnancy

Tiredness in early pregnancy may be caused by:

• hormonal changes - due to increased levels of the hormone progesterone
• emotional changes - anxiety is common in the early stages and will usually pass as the weeks go by
• physical changes - pregnancy uses a lot of energy as your body changes

Mental health and wellbeing

Nausea and vomiting

These are common symptoms in early pregnancy. They can leave you feeling exhausted, particularly if the symptoms disrupt your sleep.

Morning sickness

Changes to your circulation and metabolism

As your body adjusts to being pregnant, it produces more blood and your blood pressure may drop. Your blood sugar may also be lower. These changes can make you feel more tired.

Coping with tiredness in early pregnancy

It can be frustrating when you have had a good night’s sleep and you wake up with no energy. It can be very hard to balance the tiredness you are feeling with your responsibilities.

Tiredness does not harm your baby. But it can make life feel more difficult.

To help your energy levels:

• eat a healthy diet
• take gentle exercise
• get plenty of rest and sleep
• ask for help from family and friends, especially if you have other children at home.
• talk to your manager or colleagues about what changes at work could help

If you feel anxiety and this is making everyday life difficult, talk to a trusted family member or friend. If these feelings continue, make an appointment with your GP.

Energy levels usually improve by the second trimester (weeks 14 to 26). Until then, rest when you can. Try to do your daily tasks in order of priority rather than trying to do everything.

When to get medical advice